title: Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases.
abstract: The dramatic scale-up of HIV services in lower-income countries has led to the development of service delivery models reflecting the specific characteristics of HIV and its treatment as well as local contexts and cultures. Given the shared barriers and challenges faced by health programmes in lower-income countries, many of the implementation approaches developed for HIV programmes have the potential to contribute to the continuity care framework needed to address non-communicable diseases (NCDs) in resource-limited settings. HIV programmes are, in fact, the first large-scale chronic disease programmes in many countries, offering local and effective tools, models and approaches that can be replicated, adapted and expanded. As such, they might be used to 'jumpstart' the development of initiatives to provide prevention, care and treatment services for NCDs and other chronic conditions.
authors.affiliation: Department of Medicine, Columbia University College of Physicians and Surgeons and Mailman School of Public Health, New York, NY, USA. mr84@columbia.edu
authors.forename: Miriam
authors.initials: M
authors.lastname: Rabkin
authors.forename: Wafaa M
authors.initials: WM
authors.lastname: El-Sadr
mesh_terms: D002318:Cardiovascular Diseases / Q000628:therapy; D002908:Chronic Disease / Q000628:therapy; D003695:Delivery of Health Care / Q000458:organization & administration*; D003906:Developing Countries; D003920:Diabetes Mellitus / Q000628:therapy; D014943:Global Health; D015658:HIV Infections / Q000628:therapy*; D006284:Health Plan Implementation / Q000379:methods / Q000458:organization & administration; D006801:Humans; D007373:Interinstitutional Relations; D001523:Mental Disorders / Q000628:therapy; D017146:Models, Organizational; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy